I think NHS Improvement are all over NHS Trusts for using bank or agency nurses, and locum doctors. The hierarchical structure and massive governance stuff means most Hospital docs will struggle to show they are freelancers coming and going as they please. The letter from Jim Mackey is typically blunt and inaccurate - "HMRC will treat all public sector ‘self-employed’ contractors using a PSC as falling under IR35" - simply not true.

If I were you I would instead network with fellow docs to push for a rise in fees to compensate being inside-IR35 (only a supply shortage will get the attention of the higher powers locally and above).

On the management side, if you're lucky enough to work for one of the tiny number of NHS Trusts that hasn't just done a blanket decision, then your hopes of being outside IR35 rest on time-limited non-BAU projects such as 'transformation', 'CIP' or 'service redesign'. You come in, do something, then leave.

I think NHS Improvement are all over NHS Trusts for using bank or agency nurses, and locum doctors. The hierarchical structure and massive governance stuff means most Hospital docs will struggle to show they are freelancers coming and going as they please. The letter from Jim Mackey is typically blunt and inaccurate - "HMRC will treat all public sector ‘self-employed’ contractors using a PSC as falling under IR35" - simply not true.

If I were you I would instead network with fellow docs to push for a rise in fees to compensate being inside-IR35 (only a supply shortage will get the attention of the higher powers locally and above).

On the management side, if you're lucky enough to work for one of the tiny number of NHS Trusts that hasn't just done a blanket decision, then your hopes of being outside IR35 rest on time-limited non-BAU projects such as 'transformation', 'CIP' or 'service redesign'. You come in, do something, then leave.